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High Temperatures and Cardiovascular-Related Morbidity: A Scoping Review

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  • Kendra R. Cicci

    (Department of Epidemiology and Biostatistics, Western University, London, ON N6G 2M1, Canada)

  • Alana Maltby

    (Department of Epidemiology and Biostatistics, Western University, London, ON N6G 2M1, Canada)

  • Kristin K. Clemens

    (Department of Epidemiology and Biostatistics, Western University, London, ON N6G 2M1, Canada
    Lawson Health Research Institute, London, ON N6C 2R5, Canada
    Department of Medicine, Western University, London, ON N6A 5A5, Canada
    ICES, London, ON N6A 5W9, Canada)

  • Ana Maria Vicedo-Cabrera

    (Institute of Social and Preventive Medicine, University of Bern, 3012 Bern, Switzerland
    Oeschger Center for Climate Change Research, University of Bern, 3012 Bern, Switzerland)

  • Anna C. Gunz

    (Department of Paediatrics, Western University, London, ON N6A 5W9, Canada
    Child Health Research Institute, London, ON N6A 5W9, Canada)

  • Éric Lavigne

    (Air Health Science Division, Health Canada, Ottawa, ON K1A 0K9, Canada
    School of Epidemiology and Public Health, Faculty of Medicine, University of Ottawa, Ottawa, ON K1G 5Z3, Canada)

  • Piotr Wilk

    (Department of Epidemiology and Biostatistics, Western University, London, ON N6G 2M1, Canada
    Lawson Health Research Institute, London, ON N6C 2R5, Canada
    ICES, London, ON N6A 5W9, Canada
    Institute of Social and Preventive Medicine, University of Bern, 3012 Bern, Switzerland)

Abstract

The primary objective of this review was to synthesize studies assessing the relationships between high temperatures and cardiovascular disease (CVD)-related hospital encounters (i.e., emergency department (ED) visits or hospitalizations) in urban Canada and other comparable populations, and to identify areas for future research. Ovid MEDLINE, EMBASE, CINAHL, Cochrane Database of Systematic Reviews, and Scopus were searched between 6 April and 11 April 2020, and on 21 March 2021, to identify articles examining the relationship between high temperatures and CVD-related hospital encounters. Studies involving patients with pre-existing CVD were also included. English language studies from North America and Europe were included. Twenty-two articles were included in the review. Studies reported an inconsistent association between high temperatures and ischemic heart disease (IHD), heart failure, dysrhythmia, and some cerebrovascular-related hospital encounters. There was consistent evidence that high temperatures may be associated with increased ED visits and hospitalizations related to total CVD, hyper/hypotension, acute myocardial infarction (AMI), and ischemic stroke. Age, sex, and gender appear to modify high temperature-CVD morbidity relationships. Two studies examined the influence of pre-existing CVD on the relationship between high temperatures and morbidity. Pre-existing heart failure, AMI, and total CVD did not appear to affect the relationship, while evidence was inconsistent for pre-existing hypertension. There is inconsistent evidence that high temperatures are associated with CVD-related hospital encounters. Continued research on this topic is needed, particularly in the Canadian context and with a focus on individuals with pre-existing CVD.

Suggested Citation

  • Kendra R. Cicci & Alana Maltby & Kristin K. Clemens & Ana Maria Vicedo-Cabrera & Anna C. Gunz & Éric Lavigne & Piotr Wilk, 2022. "High Temperatures and Cardiovascular-Related Morbidity: A Scoping Review," IJERPH, MDPI, vol. 19(18), pages 1-24, September.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:18:p:11243-:d:908992
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    References listed on IDEAS

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    1. Ines Corcuera Hotz & Shakoor Hajat, 2020. "The Effects of Temperature on Accident and Emergency Department Attendances in London: A Time-Series Regression Analysis," IJERPH, MDPI, vol. 17(6), pages 1-12, March.
    2. An Vu & Shannon Rutherford & Dung Phung, 2019. "Heat Health Prevention Measures and Adaptation in Older Populations—A Systematic Review," IJERPH, MDPI, vol. 16(22), pages 1-22, November.
    3. Hasan Sohail & Virpi Kollanus & Pekka Tiittanen & Alexandra Schneider & Timo Lanki, 2020. "Heat, Heatwaves and Cardiorespiratory Hospital Admissions in Helsinki, Finland," IJERPH, MDPI, vol. 17(21), pages 1-11, October.
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    2. Omar Portela Dos Santos & Pauline Melly & Stéphane Joost & Henk Verloo, 2023. "Measuring Nurses’ Knowledge and Awareness of Climate Change and Climate-Associated Diseases: Protocol for a Systematic Review of Existing Instruments," IJERPH, MDPI, vol. 20(20), pages 1-12, October.

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